Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $107.15 / $154.88 / $416.87	Facility	26	$107.15	$154.88	$416.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $478.63 / $1,621.81	Professional		$218.78	$478.63	$1,621.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $181.97 / $501.19	Professional	26	$100.00	$181.97	$501.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $281.84 / $380.19 / $912.01	Professional	TC	$281.84	$380.19	$912.01
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $114.82 / $114.82 / $114.82	Facility	26	$114.82	$114.82	$114.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $562.34 / $1,445.44	Professional		$380.19	$562.34	$1,445.44
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $123.03 / $239.88	Professional	26	$93.33	$123.03	$239.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $295.12 / $436.52 / $1,230.27	Professional	TC	$295.12	$436.52	$1,230.27
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.12 / $131.83 / $323.59	Facility	26	$25.12	$131.83	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $741.31 / $1,445.44	Professional		$380.19	$741.31	$1,445.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $141.25 / $281.84	Professional	26	$83.18	$141.25	$281.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $281.84 / $562.34 / $1,202.26	Professional	TC	$281.84	$562.34	$1,202.26
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $602.56 / $1,230.27	Professional		$380.19	$602.56	$1,230.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $114.82 / $218.78	Professional	26	$87.10	$114.82	$218.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $288.40 / $467.74 / $977.24	Professional	TC	$288.40	$467.74	$977.24